P Praxis·MD
● Active Type 1 · Individual

Mallory Sue Barber, ATC

Specialist/Technologist·Boise, ID· NPI 1124684758 · Enumerated 2019 · 7 years on NPI
Barber is 1 of 94 specialist/technologist providers in Boise and 1 of 326 in Idaho.
NPI age
7 years
Enumerated 2019-05-20
Primary specialty
Specialist/Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
12598 W Medalist Dr
Boise, ID 837096500
📞 2089543479
Mailing address
12598 W Medalist Dr
Boise, ID 837096500
📞 2089543479

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 326 Specialist/Technologist providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related